Graduated: 1980
NPI: 1962427161
Practice Locations (2)
STATERA HEALTH CARE LLC
200 E FAIRMAN AVE
WATSEKA, IL 609701644
8154325841
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
200 E FAIRMAN AVE
WATSEKA, IL 609701644
8154325411
Source: CMS National Downloadable File, September 2026.